Federal Reports

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA St. Louis Healthcare System in Missouri. This evaluation focused on five key content domains:
•    Culture
•    Environment of care
•    Patient safety
•    Primary care
•    Veteran-centered safety net
The OIG issued five recommendations for improvement in two domains:
1.    Environment of care
•    Supply storage locations and expired supplies
•    Video laryngoscope supplies
•    Safe and clean patient care areas
•    Preventive maintenance for biomedical equipment
2.    Patient safety
•    Service-level workflows and processes to monitor patient test result communications

OIG performed an inspection of the Office of the Chief Economist to determine the likely level of sophistication an attacker would need to compromise selected U.S. Department of Agriculture systems or data.

The United States Coast Guard (Coast Guard) did not meet its illegal, unreported, and unregulated (IUU) fishing interdiction goals for fiscal years 2023 and 2024. For both FYs, the Coast Guard set its interdiction goal at 40 percent. This goal reflects efforts to prevent illegal foreign fishing vessels from encroaching on the U.S. Exclusive Economic Zone (EEZ). It measures the percent of detected vessels successfully interdicted by the Coast Guard.

The Federal Emergency Management Agency’s (FEMA) fiscal year 2023 Operation Stonegarden performance measure—prosecuted narcotic cases—accurately reflected Operation Stonegarden’s contributions to the President’s National Drug Control Strategy (the Strategy). Specifically, FEMA’s prosecuted narcotic cases measure reflects one of the Strategy’s key goals, namely, to reduce the supply of illicit substances in the United States.

The NCUA OIG conducted this self-initiated audit to assess how effectively the NCUA shared cyber threat information. Our objectives were to determine whether the NCUA: 1) effectively used shared cyber threat information for the supervision of credit unions; and 2) implemented effective processes to share cyber threat information to support credit union and financial system resiliency. The scope of our audit covered cyber threat information sharing from March 1, 2022, through December 31, 2024.

Our audit determined that the NCUA needed to mature its governance processes for cyber threat information sharing to support supervision of credit unions more effectively during a cybersecurity event or incident that may increase risk to the Share Insurance Fund and financial services sector stability. Additionally, NCUA did not effectively acquire, analyze, and use cyber threat information for internal analysis and external response. Finally, NCUA continues to need statutory examination and oversight authority over third-party vendors to be able to effectively assess and monitor third-party cybersecurity exposures.

OIG Strategic Plan for Fiscal Years 2025 - 2028